中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
6期
653-654
,共2页
刘傲亚%余振球%王绿娅%王文化
劉傲亞%餘振毬%王綠婭%王文化
류오아%여진구%왕록아%왕문화
老老年高血压%青年高血压%动态血压%降压治疗
老老年高血壓%青年高血壓%動態血壓%降壓治療
로노년고혈압%청년고혈압%동태혈압%강압치료
Very elderly hypertension%Young hypertension%Ambulatory blood pressure%Antihypersive treatment
目的 探讨老老年与青年高血压病患者的血压水平差异,以指导老老年患者的临床治疗.方法 选择我院2009年4月至2010年6月高血压科住院的18岁≤年龄≤30岁患者49例作为青年组,≥80岁患者31例作为老老年组.2组患者均做诊室血压测量和24 h动态血压监测,并进行比较.结果 青年组患者诊室测量的舒张压明显高于老老年组[(102±14)mm Hg(1mm Hg=0.133 kPa)比(80±14)mm Hg.P<0.05],老老年组中单纯收缩压升高者明显多于青年组[19例(61.3%)比0例,P<0.01].青年组24 h平均舒张压、24 h平均心率、白昼平均舒张压、夜间平均舒张压均高于老老年组[(81±11)mm Hg比(67±10)mm Hg,(73±11)次/min比(64±15)次/min,(75+28)mm Hg比(59±25)mm Hg,(66±25)mm Hg比(55±23)mm Hg,P<0.05或P<0.01],而24 h脉压低于老老年组[(11±2)mm Hg比(24±4)mm Hg,P<0.01].结论 老老年高血压病患者舒张压、心率低于青年患者,脉压高于青年患者,单纯收缩压升高者明显多于青年患者.老老年高血压病患者应该进行降压治疗,降压药可以首选钙离子拈抗剂和利尿剂.
目的 探討老老年與青年高血壓病患者的血壓水平差異,以指導老老年患者的臨床治療.方法 選擇我院2009年4月至2010年6月高血壓科住院的18歲≤年齡≤30歲患者49例作為青年組,≥80歲患者31例作為老老年組.2組患者均做診室血壓測量和24 h動態血壓鑑測,併進行比較.結果 青年組患者診室測量的舒張壓明顯高于老老年組[(102±14)mm Hg(1mm Hg=0.133 kPa)比(80±14)mm Hg.P<0.05],老老年組中單純收縮壓升高者明顯多于青年組[19例(61.3%)比0例,P<0.01].青年組24 h平均舒張壓、24 h平均心率、白晝平均舒張壓、夜間平均舒張壓均高于老老年組[(81±11)mm Hg比(67±10)mm Hg,(73±11)次/min比(64±15)次/min,(75+28)mm Hg比(59±25)mm Hg,(66±25)mm Hg比(55±23)mm Hg,P<0.05或P<0.01],而24 h脈壓低于老老年組[(11±2)mm Hg比(24±4)mm Hg,P<0.01].結論 老老年高血壓病患者舒張壓、心率低于青年患者,脈壓高于青年患者,單純收縮壓升高者明顯多于青年患者.老老年高血壓病患者應該進行降壓治療,降壓藥可以首選鈣離子拈抗劑和利尿劑.
목적 탐토로노년여청년고혈압병환자적혈압수평차이,이지도로노년환자적림상치료.방법 선택아원2009년4월지2010년6월고혈압과주원적18세≤년령≤30세환자49례작위청년조,≥80세환자31례작위로노년조.2조환자균주진실혈압측량화24 h동태혈압감측,병진행비교.결과 청년조환자진실측량적서장압명현고우로노년조[(102±14)mm Hg(1mm Hg=0.133 kPa)비(80±14)mm Hg.P<0.05],로노년조중단순수축압승고자명현다우청년조[19례(61.3%)비0례,P<0.01].청년조24 h평균서장압、24 h평균심솔、백주평균서장압、야간평균서장압균고우로노년조[(81±11)mm Hg비(67±10)mm Hg,(73±11)차/min비(64±15)차/min,(75+28)mm Hg비(59±25)mm Hg,(66±25)mm Hg비(55±23)mm Hg,P<0.05혹P<0.01],이24 h맥압저우로노년조[(11±2)mm Hg비(24±4)mm Hg,P<0.01].결론 로노년고혈압병환자서장압、심솔저우청년환자,맥압고우청년환자,단순수축압승고자명현다우청년환자.로노년고혈압병환자응해진행강압치료,강압약가이수선개리자념항제화이뇨제.
Objective To discuss the difference of ambulatory blood pressure levels between very elderly and young hypertensives. Methods Eighty inpatients in hypertension department at Anzhen Hospital were enrolled and divided into two groups by age;the young group(49 cases, with age≤30 years old)and very elderly group(31 cases, with age ≥80 years old). Both groups had clinical blood pressure tests and 24-hour ambulatory blood pressure tests, and the outcomes were compared. Results The diastolic blood pressure ( DBP) in the young group is significantly higher than the very elderly group[(102 ±14)mm Hg(l mm Hg =0.133 kPa)vs(80 ±14)mm Hg, P< 0.05]. People simply elevated systolic blood pressure of the very elderly group is significantly more than young group[19 cases(61.3% ) vs 0(0.0% ) , P <0. 01]. The 24 h mean DBP, 24 h mean heart rate, day mean DBP and night mean DBP in young group are higher than the very elderly group[(81 ±11) mm Hg vs(67 ±10) mm Hg, (73 ±ll)beats per minute vs(64 ±15)beats per minute,(75 ±28)mm Hg vs(59 ±25)mm Hg,(66 ±25)mm Hg vs(55 ±23)mm Hg, P<0.05 or P<0.01] , but mean pulse pressure is lower than the very elderly groupf (11 ± 2)mm Hg vs(24 ±5)mm Hg, P<0.01]. Conclusions The DBP and heart rate in the very elderly patients are lower than those in the young patients, while isolated systolic hypertension is significantly higher in the very elderly patients than that in the young patients. The very elderly patients with hypertension should have antihypersive treatment and calcium antagonist as well as diuretic should be the first choices.
